He Heals The BrokenHearted

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Christian Emotional Healing

Christian Emotional HealingChristian Emotional Healing

Registration

Which Forms?

For Consultation

  1. Pre-Application (5-10 min)


For Evaluations & Sessions

  1. Pre-Application (5-10 min)
  2. WellBeing Assessment (3 min)
  3. Stress Test (2 min)
  4. PTSD Test (2 min)
  5. Client Intake (6 min)


Optional

  • General Questionnaire  (15 min)

1. Pre-Application

2. WellBeing Assessment

2. WellBeing Assessment

Helps your Coach understand  your initial goals and determine if your needs appear as a match for assistance here.

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2. WellBeing Assessment

2. WellBeing Assessment

2. WellBeing Assessment

Assess status of current Well Being and Life Satisfaction.


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3. Stress Test

2. WellBeing Assessment

3. Stress Test

Assess status of current general depression, anxiety, and stress levels within the last week.

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4. PTSD Test

6. General Questionnaire

3. Stress Test

Assess status of current PTS or PTSD level (post traumatic stress) within the last 30 days. Test is the civilian version.

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5. Client Intake

6. General Questionnaire

6. General Questionnaire

Client Intake, Coaching Agreement, Informed Consent.


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6. General Questionnaire

6. General Questionnaire

6. General Questionnaire

OPTIONAL. Provides Coach details of where you are, have been and would like to go. 

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Minor Release

security & diagnosis

Insights & Feedback

For Clients under age 18.




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Insights & Feedback

security & diagnosis

Insights & Feedback

Complete Same Day after Each Session. Helps you reflect on session Insights Gained and helps your Coach help you better.

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security & diagnosis

security & diagnosis

security & diagnosis

All forms are HIPAA Compliant and have a high level of Security. 


Coaches do not provide a diagnosis. If you need emergency, professional or medical care, seek such care.


If Suicidal: in the USA, call 911 or go to Hospital Emergency Room or call 1-800-273-8255 (TALK), or text 988


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